Chang Min Cheol, Seo Wan-Seok, Park Donghwi, Hur Jian
Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu 42415, Korea.
Department of Psychiatry, College of Medicine, Yeungnam University, Daegu 42415, Korea.
Healthcare (Basel). 2020 May 26;8(2):145. doi: 10.3390/healthcare8020145.
In this study, we evaluated the efficiency of a drive-through (DT) screening system for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by comparing it with a conventional screening system. We reviewed and analyzed the SARS-CoV-2 screening data obtained at our university hospital. We compared the number of tests for SARS-CoV-2 (using real-time polymerase chain reaction) performed using two different specimen collection systems-DT and conventional-during the coronavirus disease 2019 (COVID-19) outbreak in Daegu. Based on the results, the DT screening system collected 5.8 times more specimens for testing than the conventional screening system. From January 27 to 31 March 2020, 6211 individuals were screened for SARS-CoV-2 infection using either the DT or conventional system. In total, 217 individuals tested positive for SARS-CoV-2 (positive rate: 3.50%). Of the 6211 individuals, 3368 were symptomatic or had a history of contact with COVID-19 patients, and 142 of them tested positive for SARS-CoV-2 (positive rate: 4.22%). Further, 2843 individuals were asymptomatic and had no history of contact with COVID-19 patients, and 75 of them tested positive for SARS-CoV-2 (positive rate: 2.64%). In conclusion, the DT system allowed clinicians to collect specimens for SARS-CoV-2 screening more efficiently than the conventional system. Furthermore, as there might be several COVID-19 patients who remain asymptomatic, expanding the screening test to asymptomatic individuals would be necessary.
在本研究中,我们通过将免下车(DT)筛查系统与传统筛查系统进行比较,评估了其对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的筛查效率。我们回顾并分析了在我校医院获得的SARS-CoV-2筛查数据。我们比较了在大邱2019冠状病毒病(COVID-19)疫情期间,使用两种不同标本采集系统——DT和传统系统——进行的SARS-CoV-2检测(采用实时聚合酶链反应)数量。根据结果,DT筛查系统采集的检测标本数量是传统筛查系统的5.8倍。在2020年1月27日至3月31日期间,使用DT或传统系统对6211人进行了SARS-CoV-2感染筛查。总共有217人SARS-CoV-2检测呈阳性(阳性率:3.50%)。在这6211人中,3368人有症状或有接触COVID-19患者的病史,其中142人SARS-CoV-2检测呈阳性(阳性率:4.22%)。此外,2843人无症状且无接触COVID-19患者的病史,其中75人SARS-CoV-2检测呈阳性(阳性率:2.64%)。总之,与传统系统相比,DT系统能让临床医生更高效地采集用于SARS-CoV-2筛查的标本。此外,由于可能有若干COVID-19患者仍无症状,有必要将筛查检测扩大到无症状个体。